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CHARITY PROVANCAL-BLACK
NPI 1669731808
Counselor in Gainesville, FL

Active since May 09, 2012
4300 SW 13TH ST, GAINESVILLE, FL 32608(352) 374-5600(352) 374-5608 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charity Provancal-black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARITY PROVANCAL-BLACK (NPI 1669731808) is an individual counselor in Gainesville, Florida and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1669731808
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCHARITY PROVANCAL-BLACK
Location Address4300 SW 13TH STGainesville, FL 32608-4006
Mailing Address4300 Sw 13th StGainesville, FL 32608-4006
Phone(352) 374-5600
Fax(352) 374-5608
Sole ProprietorNo
Enumeration DateMay 9, 2012
✔ NPI 1669731808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4300 SW 13TH ST, Gainesville, FL 32608
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROGER SMITH
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
JOSEPH PALMER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
MABEL MAMBO CHE-TUMA
Registered Nurse
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
CHARNETTE MERRITT
Social Worker (Clinical)
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
KELLY MILLER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
MURIELLE SAINT-JEAN
Case Manager/Care Coordinator
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
SHANNON MOSER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
DOUGLAS CARL
Nurse's Aide
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charity Provancal-black's NPI number?

The NPI number for Charity Provancal-black is 1669731808. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Charity Provancal-black located?

Charity Provancal-black practices at 4300 SW 13th St, Gainesville, FL 32608. The listed phone number is (352) 374-5600.

What is Charity Provancal-black's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Charity Provancal-black was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.